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NPI 1538142500

NPI 1538142500 : ABEER HASSOUN MD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1538142500
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    Entity Type          |    Individual 
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    Provider Name        |    ABEER HASSOUN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/23/2005
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    Last Update Date     |    10/23/2014
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Provider Practice Location Address
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    Address Line         |    3959 BROADWAY 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-1559
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    Country              |    US
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    Telephone            |    212-304-7250
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3223 72ND ST APT 2
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    City                 |    EAST ELMHURST
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    State                |    NY
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    Zip                  |    11370-1723
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    Country              |    US
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    Telephone            |    718-565-5285
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080P0205X
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    Taxonomy Name        |    Pediatric Endocrinology Physician
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    License Number       |    226780
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    License Number State |    NY
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